New Castle, IN

Waters Of New Castle, The

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1000 N 16th St, New Castle, IN

(765) 521-1420

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

66

Certified beds

Average residents

58

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Infinity Healthcare Consulting

Operator or chain grouping

Approved since

1987-08-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

70 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

0.67

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.69

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.00

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.36

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.36

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.01

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.59

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.51

CMS adjusted RN staffing hours

Adjusted total hours

2.55

CMS adjusted total nurse staffing hours

Case-mix index

1.80

Higher values indicate more complex resident acuity

RN turnover

14%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

29%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,995

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

41.83

Composite VBP score used to determine payment impact.

Payment multiplier

0.9947

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.43

Baseline 18.20% · Performance 18.45% · Measure score 6.43 · Achievement 6.43 · Improvement 0

Healthcare-associated infections

4.30

Baseline 5.22% · Performance 6.55% · Measure score 4.30 · Achievement 4.30 · Improvement 0

Total nurse turnover

5.51

Baseline 58.82% · Performance 41.18% · Measure score 5.51 · Achievement 5.51 · Improvement 4.69

Adjusted total nurse staffing

0.49

Baseline 2.08 hours · Performance 2.44 hours · Measure score 0.49 · Achievement 0 · Improvement 0.49

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.16%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 88 · Observed rate 7.95% · Lower 95% interval 6.71%
Discharge to community	52.63%	50.57% 2.1 pts better	No Different than the National Rate · Eligible stays 74 · Observed rate 55.41% · Lower 95% interval 43.76%
Medicare spending per beneficiary	1.18	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 62 · Denominator 62
Falls with major injury	1.61%	0.77% 0.8 pts worse	Numerator 1 · Denominator 62
Discharge self-care score	28.13%	53.69% 25.6 pts worse	Numerator 9 · Denominator 32
Discharge mobility score	37.5%	50.94% 13.4 pts worse	Numerator 12 · Denominator 32
Pressure ulcers or injuries, new or worsened	3.23%	2.29% 0.9 pts worse	Numerator 2 · Denominator 62 · Adjusted rate 2.01%
Healthcare-associated infections requiring hospitalization	6.55%	7.12% 0.6 pts better	No Different than the National Rate · Eligible stays 53 · Observed rate 3.77% · Lower 95% interval 3.48%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 63
Staff flu vaccination coverage	6.35%	42% 35.6 pts worse	Numerator 4 · Denominator 63
Discharge function score	31.25%	56.45% 25.2 pts worse	Numerator 10 · Denominator 32
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 25 · Denominator 25
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 23 · Denominator 23
Resident COVID-19 vaccinations up to date	25.71%	25.2% 0.5 pts better	Numerator 9 · Denominator 35

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	1.6 0.1 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.6 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.5 0.4 pts worse	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	93.6% 6.4 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.4% 4.6 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	5.6%	3.8% 1.8 pts worse	3.3% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.0% · Q3 5.9% · Q4 8.3% · 4Q avg 5.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	88.8%	24.6% 64.2 pts worse	11.4% 77.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 82.6% · Q2 85.4% · Q3 93.9% · Q4 93.3% · 4Q avg 88.8%
Percentage of long-stay residents who lose too much weight	4.8%	5.6% 0.8 pts better	5.4% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 7.3% · Q3 7.0% · Q4 0.0% · 4Q avg 4.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	36.3%	23.5% 12.8 pts worse	19.6% 16.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.1% · Q2 36.6% · Q3 37.2% · Q4 33.3% · 4Q avg 36.3%
Percentage of long-stay residents who received an antipsychotic medication	16.2%	14.8% 1.4 pts worse	16.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 13.5% · Q3 17.5% · Q4 17.6% · 4Q avg 16.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	3.1%	13.3% 10.2 pts better	16.3% 13.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 3.8% · Q4 3.8% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	2.4%	11.7% 9.3 pts better	14.9% 12.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 0.0% · Q3 2.3% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.4% About the same	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.5%	1.2% 0.7 pts better	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.6%	24.2% 0.4 pts worse	19.8% 4.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 29.8% · Q3 27.5% · Q4 19.6% · 4Q avg 24.6%
Percentage of long-stay residents with pressure ulcers	5.5%	4.1% 1.4 pts worse	5.1% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 2.8% · Q3 9.8% · Q4 2.7% · 4Q avg 5.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	81.6% 18.4 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	17.5%	10.5% 7 pts worse	12.0% 5.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 17.1% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.3% 1.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.8%	79.0% 16.8 pts better	79.7% 16.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.8%	22.4% 5.4 pts worse	23.9% 3.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.8% · Observed 29.3% · Expected 25.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-16 · Fire 2026-01-16

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2024-12-19 · Fire 2024-12-19

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2023-09-29 · Fire 2023-09-29

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

6 fire-safety deficiencies

Top issue: Construction (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2026-01-16

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Not marked corrected

E · Potential for more than minimal harm 2026-01-16

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Not marked corrected

F · Potential for more than minimal harm 2024-12-19

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-01-15

E · Potential for more than minimal harm 2024-12-19

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-01-15

F · Potential for more than minimal harm 2023-09-29

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-11-06

E · Potential for more than minimal harm 2023-09-29

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-11-06

E · Potential for more than minimal harm 2023-09-29

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2023-11-06

E · Potential for more than minimal harm 2023-09-29

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-11-06

E · Potential for more than minimal harm 2023-09-29

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-11-06

C · Minimal harm 2023-09-29

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-11-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-16

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-02-02

D · Potential for more than minimal harm 2026-01-16

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-02-02

D · Potential for more than minimal harm 2026-01-16

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2026-02-02

D · Potential for more than minimal harm 2026-01-16

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2026-02-02

D · Potential for more than minimal harm 2024-05-01